Organization
WESTERN ILLINOIS ORAL & MAXILLOFACIAL SURGERY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN W. KASPAR DDS MS (PRESIDENT)
(309) 344-3311
Entity
Organization
Contact information
Practice address
929 W CARL SANDBURG DR, GALESBURG, IL 61401-1342
(309) 344-3311
(309) 344-1052
Mailing address
929 W CARL SANDBURG DR, GALESBURG, IL 61401-1342
(309) 344-3311
(309) 344-1052
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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